Mrs Mary Virginia Mark, RD, LD, CDE in Tupelo, MS - Medicare Dietitian, Registered Provider

Mrs Mary Virginia Mark, RD, LD, CDE is a medicare enrolled "Dietitian, Registered" provider in Tupelo, Mississippi. Her current practice location is 408 Council Circle, Suite C, Tupelo, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 377-6334.

Mrs Mary Virginia Mark is licensed to practice in Mississippi (license number D0804) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497242911.

Contact Information

	Mrs Mary Virginia Mark, RD, LD, CDE
	408 Council Circle, Suite C, Tupelo, MS 38801-4949
	(662) 377-6334
	(662) 377-6330

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Mary Virginia Mark
Gender	Female
Speciality	Dietitian, Registered
Location	408 Council Circle, Tupelo, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497242911
Provider Enumeration Date: 04/19/2018
Last Update Date: 06/16/2018

Medicare PECOS Information:

PECOS PAC ID: 8628598497
Enrollment ID: I20250224001680

Medical Identifiers

Medical identifiers for Mrs Mary Virginia Mark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497242911	NPI	-	NPPES
22220310	Other		NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS
D0804	Other	MS	MISSISSIPPI STATE DEPARTMENT OF HEALTH PROFESSIONAL LICENSURE
860079	Other		COMMISSION OF DIETETIC REGISTRATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	D0804 (Mississippi)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Mary Virginia Mark allows following entities to bill medicare on her behalf.

Provider Name	North Mississippi Medical Center, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1972608347 PECOS PAC ID: 9931010600 Enrollment ID: O20040413000541

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Mary Virginia Mark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Mary Virginia Mark, RD, LD, CDE 408 Council Circle, Suite C, Tupelo, MS 38801-4949 Ph: (662) 377-6334	Mrs Mary Virginia Mark, RD, LD, CDE 408 Council Circle, Suite C, Tupelo, MS 38801-4949 Ph: (662) 377-6334

Reviews and Comments

Dietitian, Registered in Tupelo, MS

Julia Lucius, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-2500 Fax: 662-377-2069
Mrs. Jessica L Stebbins, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1114 Commonwealth Blvd, Tupelo, MS 38804 Phone: 662-840-6366
Deborah Stone, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1150 S Green St, Building 2, Suite D, Tupelo, MS 38804 Phone: 662-815-3575
Emily Littlejohn, MS,RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 845 S Madison St, Tupelo, MS 38801 Phone: 662-377-5930
Hooks Nutrition Consulting Dietitian Medicare: Medicare Enrolled Practice Location: 2610 Traceland Dr Ste A, Tupelo, MS 38801 Phone: 662-350-0398
Erica Caples Witcher, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 845 S Madison St, Tupelo, MS 38801 Phone: 662-377-5930 Fax: 662-377-5071
Sarah Collins, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 330 W Jefferson St, Tupelo, MS 38804 Phone: 662-432-0200 Fax: 662-432-0199

Mrs Mary Virginia Mark, RD, LD, CDE - Medicare Dietitian in Tupelo, MS